Event co-ordinator Registration

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address *

Location of Event

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address

What type of Paddle event are you holding? * 🛈

What events are you holding *

Groms under 14yrs 200m

Family paddle 200m

Pro paddle 5km

Fun Paddle - Fancy dress 200m

Knee high Paddle (Distance various)

Strong Paddler 1km paddle

Other (we can add more) Other (we can add more)

What craft are being accepted *

We would like all paddles to be held in September but we will except other dates

What date is your Paddle being held on * +

What time does your Paddle start *

What charity are you rasing money for?
See charity's we work with or select your own *

	Please ensure all your paddlers register for your event on line to ensure they have accepted the terms of The joe way Paddle for life
Agreed	Please ensure all your paddlers register for your event on line to ensure they have accepted the terms of The joe way Paddle for life
Not Agreed (Please email why info@joeway.co.uk)	Please ensure all your paddlers register for your event on line to ensure they have accepted the terms of The joe way Paddle for life

I understand that the sea can be an inherently dangerous place. I confi rm that I am a fi t and healthy person and that I am easily able to swim a distance of 100 metres in the sea.

I accept that I am fully responsible for my own health, fitness, safety and welfare both in and out of the water and that my participation in Paddle for for life 2009 is undertaken completely at my own risk.

I accept that the event organisers, it’s staff and associates shall not be held liable for any loss or damage, howsoever arising, suffered by any participant of Paddle for lifel 2009.

I also accept that the event organisers may, at their discretion, refuse to allow me to participate in this event, if I appear to be incapable or intoxicated immediately prior to the start of the Paddle.

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